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Risk assessment and causal preventive measures.

Adrian Lussi1, Elmar Hellwig

  • 1Department of Preventive, Restorative and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.

Monographs in Oral Science
|July 5, 2014
PubMed
Summary

Diagnosing erosive tooth wear early is crucial for prevention. Identifying risk factors like diet and gastric acid regurgitation allows for personalized preventive strategies to protect teeth.

Area of Science:

  • Dentistry
  • Oral Health
  • Preventive Medicine

Background:

  • Early diagnosis of erosive tooth wear is essential for effective preventive measures.
  • Currently, no diagnostic device exists for assessing erosive defects, relying solely on clinical detection.
  • Delayed diagnosis can hinder timely implementation of preventive strategies.

Purpose of the Study:

  • To highlight the importance of diagnosing erosive tooth wear and identifying etiological factors for risk assessment.
  • To emphasize the need for patients to record dietary intake to evaluate erosive potential.
  • To outline a comprehensive, individually tailored preventive program for erosive tooth wear.

Main Methods:

  • Clinical detection of erosive defects.
  • Patient recording of dietary intake over a specific period.

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  • Assessment of dietary erosive potential using a provided table of common food and beverages.
  • Consideration of risk factors such as frequent dietary acid intake and gastric acid regurgitation.

    • Main Results:

    • Patients with over four daily acid intakes, alongside other risk factors, face a higher risk of tooth erosion.
    • Regurgitation of gastric acids is identified as a significant risk factor.
    • A tailored preventive program can be developed based on individual risk factor analysis.

    Conclusions:

    • Personalized preventive programs, including dietary advice and optimized oral hygiene, are key to managing tooth erosion.
    • Strategies may involve calcium-enriched beverages, salivary flow stimulation, buffering agents, and appropriate toothbrushing techniques.
    • Preventive strategies should address both erosion and abrasion, focusing on individually relevant and feasible interventions.